Surgical repair of descending thoracic and thoracoabdominal aortic aneurysm involving the distal arch: Open proximal anastomosis under deep hypothermia.

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Presentation transcript:

Surgical repair of descending thoracic and thoracoabdominal aortic aneurysm involving the distal arch: Open proximal anastomosis under deep hypothermia versus arch clamping technique Jae Suk Yoo, MD, Joon Bum Kim, MD, PhD, Sung-Ho Jung, MD, PhD, Suk Jung Choo, MD, PhD, Cheol Hyun Chung, MD, PhD, Jae Won Lee, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 5, Pages 2101-2107 (November 2014) DOI: 10.1016/j.jtcvs.2014.06.068 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Aortic arch anatomy. LCCA, Left common carotid artery; LSCA, left subclavian artery. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 2101-2107DOI: (10.1016/j.jtcvs.2014.06.068) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Forrest plot for adjusted odds ratios of adverse outcomes of deep hypothermic circulatory arrest compared with arch clamping. *Requiring mechanical support (intra-aortic balloon pulsation or venoarterial extracorporeal membrane oxygenation). OR, Odds ratio; CI, confidence interval; LCOS, low cardiac output syndrome; DHCA, deep hypothermic circulatory arrest; AC, arch clamping. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 2101-2107DOI: (10.1016/j.jtcvs.2014.06.068) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions